Organization Active NPI

Robert a. Chinisci, PH.D., P.C.

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1801233598
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
565 Issued in CO
Legal business name
ROBERT A. CHINISCI, PH.D., P.C.
Practice address
4770 E Iliff Ave
Suite 234
Denver, CO 80222-6061
Phone
(303) 757-4142
Fax
(303) 337-3808
NPI assigned
Jun 4, 2013
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert A. Chinisci, PH.D.NPI 1285735498
Title
Psychologist
Phone
(303) 757-4142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X 565 CO
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 565 CO Primary

Addresses

Primary practice location

4770 E Iliff Ave
Suite 234
Denver, CO 80222-6061

Mailing address

4770 E Iliff Ave
Suite 234
Denver, CO 80222-6061
Phone (303) 757-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130624000085 CO Part B Supplier - Clinic/Group Practice 7113166158 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

2833 S Colorado Blvd
Denver, CO 80222
Phone (303) 759-4135

4770 E Iliff Ave
Ste 234
Denver, CO 80222
Phone (303) 757-4142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1801233598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE",
            "address_2": "SUITE 234",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226061",
            "telephone_number": "303-757-4142",
            "fax_number": "303-337-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE",
            "address_2": "SUITE 234",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226061",
            "telephone_number": "303-757-4142",
            "fax_number": "303-337-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. CHINISCI, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "CHINISCI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-757-4142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "565",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.